Individual
EBONIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6061 COLONIAL PKWY UNIT 9204, GULF SHORES, AL 36542-5503
(251) 225-1075
Mailing address
6061 COLONIAL PKWY UNIT 9204, GULF SHORES, AL 36542-5503
(251) 225-1075
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5402C
AL
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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